Clinical Significance of Fever and Leukocytosis in Diagnosis of Acute Appendicitis in Children Who Visit Emergency Department With Abdominal Pain
Bibliographic record
Abstract
Background: The use of fever in the diagnosis of appendicitis in pediatric patients is unproven. The purpose of this investigation was to determine the value of fever in the diagnosis of acute appendicitis in children presenting to the emergency department (ED) with acute abdominal pain. Methods: Medical records from January-December, 2009, were reviewed for children (age < 18 years) who presented to an ED of one medical center with abdominal pain. Data on initial body temperature, white blood cell count, left shift, and final diagnosis were analyzed. Results: Of 674 children, 119 had appendicitis. The prevalance of initial fever did not differ between those with and without appendicitis, but the prevalence of leukocytosis and left shift were higher in children diagnosed with appendicitis. Despite of stratification by age, leukocytosis, prevalence of fever was not differing. Conclusions: Fever does not help in diagnosing appendicitis in our patients. Leukocytosis and white cell left shifts are on the other hand more common in patients with appendicitis. More studies should follow to investigate their role in diagnosis of appendicitis in patients in emergency department. doi:10.4021/ijcp104e
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".